Individual
JAYANTHI SUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
18240 MIDWAY RD, 1303, DALLAS, TX 75287-4923
(214) 354-1292
Mailing address
18240 MIDWAY RD, 1303, DALLAS, TX 75287-4923
(214) 354-1292
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
108963
TX
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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